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Around 3 billion people still cook and heat their homes using solid fuels (i.e. wood, crop wastes, charcoal, coal and dung) in open fires and leaky stoves. Most are poor, and live in low- and middle-income countries.

Such inefficient cooking fuels and technologies produce high levels of household air pollution with a range of health-damaging pollutants, including small soot particles that penetrate deep into the lungs.

In poorly ventilated dwellings, indoor smoke can be 100 times higher than acceptable levels for fine particles. Exposure is particularly high among women and young children, who spend the most time near the domestic hearth.

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Impacts on health

Over 4.3 million people a year die prematurely from illness attributable to the household air pollution caused by the inefficient use of solid fuels (2012 data) for cooking. Among these deaths: 12% are due to pneumonia, 34% from stroke, 26% from ischaemic heart disease, 22% from chronic obstructive pulmonary disease (COPD), and 6% from lung cancer.

Pneumonia

Exposure to household air pollution almost doubles the risk for childhood pneumonia. Over half of deaths among children less than 5 years old from acute lower respiratory infections (ALRI) are due to particulate matter inhaled from indoor air pollution from household solid fuels (WHO, 2014).

Stroke

Nearly one quarter of all premature deaths due to stroke (i.e. about 1.4 million deaths of which half are in women) can be attributed to the chronic exposure to household air pollution caused by cooking with solid fuels.

Ischaemic heart disease

Approximately 15% of all deaths due to ischaemic heart disease, accounting for over a million premature deaths annually, can be attributed to exposure to household air pollution.

Chronic obstructive pulmonary disease

Over one-third of premature deaths from chronic obstructive pulmonary disease (COPD) in adults in low- and middle-income countries are due to exposure to household air pollution. Women exposed to high levels of indoor smoke are more than 2 times as likely to suffer from COPD than women who use cleaner fuels. Among men (who already have a heightened risk of COPD due to their higher rates of smoking), exposure to indoor smoke nearly doubles (i.e. 1.9) that risk.

Lung cancer

Approximately 17% of annual premature lung cancer deaths in adults are attributable to exposure to carcinogens from household air pollution caused by cooking with solid fuels like wood, charcoal or coal. The risk for women is higher, due to their role in food preparation.

Other health impacts and risks

More generally, small particulate matter and other pollutants in indoor smoke inflame the airways and lungs, impairing immune response and reducing the oxygen-carrying capacity of the blood.
There is also evidence of links between household air pollution and low birth weight, tuberculosis, cataract, nasopharyngeal and laryngeal cancers.

Mortality from ischaemic heart disease and stroke are also affected by risk factors such as high blood pressure, unhealthy diet, lack of physical activity and smoking. Some other risks for childhood pneumonia include suboptimal breastfeeding, underweight and second-hand smoke. For lung cancer and chronic obstructive pulmonary disease, active smoking and second-hand tobacco smoke are also main risk factors.

The use of polluting fuels also poses a major burden on sustainable development

Fuel gathering consumes considerable time for women and children, limiting other productive activities (e.g. income generation) and taking children away from school. In less secure environments, women and children are at risk of injury and violence during fuel gathering.

Black carbon (sooty particles) and methane emitted by inefficient stove combustion are powerful climate change pollutants.

The lack of access to electricity for at least 1.2 billion people (many of whom then use kerosene lamps for lighting) exposes households to very high levels of fine particulate matter, as well introduces other health risks, e.g. burns, injuries and poisonings from fuel ingestion, constraining other opportunities for health and development, e.g. studying or engaging in small crafts and trades, which require adequate lighting.

Source : WHO

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